Are you a member or regular attender of Mountain View Church? If so, we would like to make sure that you are included in our church directory. Please complete and submit the form below to submit your information to our staff. If you have any questions, please contact us.

Please submit one form per household

YOUR INFORMATION

Name

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile Phone

(###)

###

####

Home Phone

Don't have a home phone? You may leave this blank.

(###)

###

####

Birth Date

Don't worry, we won't publish the year ;)

MM

DD

YYYY

YOUR SPOUSE'S INFORMATION (if applicable)

Spouse Name

First Name

Last Name

Spouse Email

Spouse Mobile Phone

(###)

###

####

Spouse Birth Date

Don't worry, we won't publish the year ;)

MM

DD

YYYY

YOUR CHILDREN/DEPENDENT'S INFORMATION (if applicable)

Child 1

First Name

Last Name

Child 1's Birthday

MM

DD

YYYY

Child 2

First Name

Last Name

Child 2's Birthday

MM

DD

YYYY

Child 3

First Name

Last Name

Child 3's Birthday

MM

DD

YYYY

More children in your household? Please list their names and birthdays below.